Organization
MICHAELS WORLD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE PURIFOY (OWNER ADMINISTRATOR)
(910) 424-6199
Entity
Organization
Contact information
Practice address
2220 DOCKVALE DR., FAYETTEVILLE, NC 28306
(910) 424-6199
(910) 424-6199
Mailing address
2220 DOCKVALE DR, FAYETTEVILLE, NC 28306
(910) 424-6199
(910) 424-6199
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409666
—
NC
Enumeration date
02/08/2007
Last updated
08/01/2008
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